Individual
KAITLIN NICOLE WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
694 GLORIETTA BLVD, LAFAYETTE, CA 94549-3431
(775) 830-6830
Mailing address
694 GLORIETTA BLVD, LAFAYETTE, CA 94549-3431
(775) 830-6830
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801141106
EAST BAY ABA
CA
Enumeration date
10/15/2018
Last updated
10/15/2018
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